Individual provider Active NPI

Marianna Zelenak, D.O.

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1174964795
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UO2610 Issued in FL
Practice address
5952 Clark Center Ave
Sarasota, FL 34238-2715
Phone
(941) 924-9955
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UO2610 FL Primary

Addresses

Primary practice location

5952 Clark Center Ave
Sarasota, FL 34238-2715

Mailing address

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140114001644 FL Practitioner - Internal Medicine 2668600818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO2610FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101

1805 James L Redman Pkwy
#5412
Plant City, FL 33563

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1174964795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146103",
            "telephone_number": "561-798-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 CLARK CENTER AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382715",
            "telephone_number": "941-924-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "MARIANNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.